HEALTH FRAMEWORK FOR . CALIFORNIA PUBLIC SCHOOLS The Vision: Health Literacy Healthy Schools Healthy People. THE VISION.
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We need to make a national commitment to health education that is far greater then the routine and merely ceremonial attention we usually give it. We need to teach youngsters that they must take charge of their health...all of their lives...and we must do more than teach; we must set an example in the way we live. C Everett Koop, MD
The capacity of an individual to obtain interpret and understand basic health information and services ant the competence to use such information and services in ways which are health enhancing.
A health literate person understands scientifically based principles of health promotion and disease prevention, incorporates that knowledge into personal health related attitudes and behaviors and makes good health a personal priority.Health Framework for California Public Schools
Psychological and counseling services
A safe and healthy school environment
Health promotionCoordinated School Health SystemComponents
Coordinated School health system - An organized set of policies procedures, and activities developed and implemented through a collaborative effort that includes parents, the school and the community. Designed to protect and promote the health and well being of students and staff.Commonly used terms
Consistent health promoting messages are delivered and reinforced across multiple communication channels in the school and throughout the community.
Rather than competing for limited resources the CSHP puts student health and achievement at the heart of the matter and provides an efficient and effective way to improve, protect and promote the wellbeing of students, families, and professionals in the education systemA COORDINATED SCHOOL HEALTH PROGRAM
Conserve taxpayer dollars by reducing duplication of efforts
Maximize use of public facilities in the school and community to promote health
Enhance communication and collaboration across health promotion professionals in the schools and community
Address student health risks in the context of rather than in competition with the academic mission of the schoolCSHP Model
By the time students reach high school many already are engaging in risky behaviors or may at least have formed accepting attitudes toward these behaviors.Documented Research
Increase risk of contracting infectious diseases and developing physical and mental disabilities.
Preventable – mumps, measles, rubella
CDC – reports alarming levels use of alcohol and other drugs
Early sexual activity and suicide.Trends in California are consistent with disturbing national findings.
Children must be healthy in order to be educated and children must be educated in order to stay healthy
Given the needs
Schools must make health a priority in the curriculum and overall school program
Basic patterns of healthy living are formed in childhood and adolescence,Schools Role
So it is with health
For Health education to be made meaningful, systems must be in place that support effective health education and make health an important priority in schoolSchools cannot be resonsible for meeting every need
Components must be mutually supportive
consistent with the overall goal of promoting and enhancing children's health literacySchools plan must be well planned, coherent, must be implemented consistently
Facilitate partnerships among local educational agencies, families and communities to benefit children and youths to reach their full potentialCalifornia's Healthy Start Initiative
Based on fundamental principles that offer a simple explanation about how and why people function and behave as they do.Health Realization
Your challenge is to organize a range of developmentally appropriate and well designed strategies to instill a sound foundation for maintaining health and promoting school success.Physical Activity
Reduces feelings of depression and anxiety.
Promotes psychological well being.
Helps control weight.
Builds lean muscle mass.
Reduces body fat.Research has documented that participation in a pattern of consistent activity results in:
Improved aerobic endurance & muscular strength
Reduced risk for cardiovascular disease (decrease B/P and body mass index)
Decrease body weight among obese youths
Improved self esteem & self concept. Decrease anxiety and manifestations of stress.
Increased bone mass density as a result of participation in weight bearing exercise.More research needed........
12.6 million have Coronary heart disease
1.1 million have heart attacks in any given year
17 million have diabetes (90-95 % of type 2 diabetes is associated with obesity and physical activity)
50 million have hypertensionSo why if we know this do so many adults remain inactive?
Among stludents 9 -12
1 in 3 do not participate in regular PA
Nearly one half do not participate in team sports
Nearly one half are not enrolled in PA classes
Participation starts to decline at age 10.While children and youth are more physically active than adults
More than 1/3 of all trips made to school are made from a distance of 1 mile or less....students walk less than 1/3 of those trips to school.
Young people ages 2 – 18 spend on average over 4 hours per day watching TV or videos, or playing video games or using a computer.
- the majority of the time is watching TV
1/3 watch over 3 hours, 1/5 watch over 5 hours.In younger children the picture is not much better..........
Physical Inactivity has become not only a health, but an economic issue as well.
It impacts every segment of society including the health care industry, american workforce and even the militaryPhysical inactivity has made a major contribution in the prevalence of childhood obesity in the US since 1980.
- % of obesity related gallbladder disease tripled
- Sleep apnea among young people increased 5-fold.
These pose severe economic burden in our society....
Cost of hospitalization = $1500 average per dayAmong youths 6 -17 yrs the number of hospital admissions for obesity-related illness tripled in the past 20 years
All adolescents be physically active daily, or nearly every day as part of play, games, sports, work, transportation, recreation and physical education or planned exercise in the context of family, school and community activities.
Experts encourage – 3 or more sessions/week of activities that last 20 minutes at a time that require moderate to vigorous levels of exertion.So what are we doing about this and what are healthy levels of physicial activity for young people?
-better scores on math, reading and writing skills tests
-reduced disruptive behaviors
-improved attitudes towards self & schoolGrowing body of literature confirms –
Given the national focus on improving proficiency test outcomes for students I don't believe a change in schools programming and policy are going to happen in the near futureStatement by California State superintendent of public instruction>......
>Integrate a blend of sitting and moving into daily class room practice
>Engage students in greater variety of postures and movement during classroom instructions
>Encourage students to use their bodies to learn
>Incorporate role play as a way to dramatize key concepts
>Take stand and stretch breaks every 20 minutes to energize the class.But we do know active learning has advantages over sedentary learning
>Concerns for safety
>Appealing Technology (video games) enable a sedentary lifestyle among children
>Schools have cut recess programs and reduced requirements for participation in PE.
>In some districts unreasonable teacher student ratios
>Budget constraints for development and maintenance of facilities (parks & rec centers close to homes)So what are the Barriers?
Exercise is a subset of PA that is planned, structured, repetitive and is done with the purpose of improving or maintaining physical fitness
For teachers – recognition of the issues is critical as is the understanding of the scientific literature to understand the terminology of PA and fitness.
>Cardio-respiratory (aerobic) endurance, muscular strength and endurance, flexibility and body composition
>Motor skills = balance, agility, power, reaction time, speed and co-ordination.Physical fitness includes a set of attributes that are either health related or motor skill related
Do most days of the week
Accumulate 30 + minutesPA Pyramid
Since students spend a large percent of their waking hours at school....a formalized physical education curriculium, planned recess and short activity periods supplemented by a range of opportunities for activity throughout the school is essentialAs a fromalized part of the co-ordinated School Health Education Program
Children need frequent periods of rest following bursts of activity
Feelings of success and accomplishment are an important foundation for an ongoing commitment to participation in PA
Exercising with parents and other family members can reinforce a commitment to exercise participationIn recent years research has confirmed the health benefits of a lifelong commitment to physical activity
EC 51553 (a), EC 51554 (a)
EC 51240, EC 51550, EC 51555,
EC 51220.5 (c), EC 8910-11
(able to communicate, listen, negotiate, ask for and identify sources of help and advice.
Being able to recognize pressures and resist them, deal with and challenge prejudice, seek help from adults.
Be equiped with skills to differentiate between accurate and inaccurate information.Sex Education seeks to both reduce the risks of potentialy negative outcomes from sexual behavior (ie unwanted pregnancies and std)